NURS-172 Exam 2 Questions with correct
verified detailed solutions with rationale latest
update
Which of the following would contribute to a client's excessive weight gain? (Select
all that apply.)(There are 3 correct answers)
1. A hypothalamus lesion
2. Hyperthyroidism
3. High levels of serotonin
4. Cushing's disease
5. Diabetes mellitus --- correct precise answer ---1. A hypothalamus lesion
4. Cushing's disease
5. Diabetes mellitus
Lesions in the appetite and satiety centers in the hypothalamus may contribute to
overeating and lead to obesity. Hypothyroidism, not hyperthyroidism, is a problem
that interferes with basal metabolism and may lead to weight gain. Weight gain
can also occur in response to the decreased insulin production of diabetes mellitus
and the increased cortisone production of Cushing's disease. New evidence also
exists to indicate that low levels of the neurotransmitter serotonin may play a role
in compulsive eating.
,A nurse should identify topiramate (Topamax) as the drug of choice for which of
the following conditions? (Select all that apply.)(There are 2 correct answers)
1. Bingeing and purging with a diagnosis of bulimia nervosa
2. Weight loss with a diagnosis of anorexia nervosa
3. Amenorrhea with a diagnosis of anorexia nervosa
4. Emaciation with a diagnosis of bulimia nervosa
5. Binge eating with a diagnosis of obesity --- correct precise answer ---1. Bingeing
and purging with a diagnosis of bulimia nervosa
5. Binge eating with a diagnosis of obesity
The nurse should identify that topiramate is the drug of choice when treating binge
eating with a diagnosis of obesity or bingeing and purging with a diagnosis of
bulimia nervosa. Topiramate is an anticonvulsant that produces a significant
decline in binge frequency and reduction in body weight.
A nursing instructor is teaching about the DSM-5 criteria for the diagnosis of
binge-eating disorder. Which of the following student statements indicates that
further instruction is needed? (Select all that apply.)(There are 3 correct answers)
1. "In this disorder, distress regarding binge eating is absent."
2. "In this disorder, binge eating occurs exclusively during the course of bulimia
nervosa."
3. "In this disorder, binge eating occurs, on average, at least once a week for three
months."
,4. "In this disorder, binge eating occurs, on average, at least two days a week for
six months."
5. "In this disorder, distress regarding binge eating is present." --- correct precise
answer ---1. "In this disorder, distress regarding binge eating is absent."
2. "In this disorder, binge eating occurs exclusively during the course of bulimia
nervosa."
4. "In this disorder, binge eating occurs, on average, at least two days a week for
six months."
According to the DSM-5 criteria for the diagnosis of binge-eating disorder, binge
eating should not occur exclusively during the course of anorexia nervosa or
bulimia nervosa. The new time frame criteria in the DSM-5 states that binge eating
must occur, on average, at least once a week for three months not two days a week
for six months. The DSM-5 criteria states that distress regarding binge eating
would be present.
Anorexia nervosa deals with issues of control and a struggle between dependence
and independence.
True
False --- correct precise answer ---True. Anorexia nervosa deals with issues of
control and a struggle between dependence and independence. It is often
associated with parent-child conflicts about dependency issues. Children often feel
as though their bodies and weight are their only areas of control. It occurs
primarily in adolescents and young adults. It is more common in females than
males.
, Bulimia deals with loss of control (binge eating) and guilt (purging).
True
False --- correct precise answer ---True. Bulimia deals with loss of control (binge
eating) and guilt (purging). Bulimia is characterized by eating excessive amounts
of food followed by self-induced purging by vomiting, misuse of laxatives, diuretics
or other medications, fasting, and/or excessive exercise.
Fatty foods are the common food intolerances for clients with cholelithiasis.
True
False --- correct precise answer ---True. Fatty foods are the common food
intolerances for clients with cholelithiasis.
Teaching in relation to home management following a laparoscopic
cholecystectomy should include
a. reporting any bile-colored drainage or pus from any incision.
b. keeping the bandages on the puncture sites for 48 hours.
c. using over-the-counter antiemetics if nausea and vomiting occur.
d. emptying and measuring the contents of the bile bag from the T tube every day. -
-- correct precise answer ---a. reporting any bile-colored drainage or pus from any
incision.
verified detailed solutions with rationale latest
update
Which of the following would contribute to a client's excessive weight gain? (Select
all that apply.)(There are 3 correct answers)
1. A hypothalamus lesion
2. Hyperthyroidism
3. High levels of serotonin
4. Cushing's disease
5. Diabetes mellitus --- correct precise answer ---1. A hypothalamus lesion
4. Cushing's disease
5. Diabetes mellitus
Lesions in the appetite and satiety centers in the hypothalamus may contribute to
overeating and lead to obesity. Hypothyroidism, not hyperthyroidism, is a problem
that interferes with basal metabolism and may lead to weight gain. Weight gain
can also occur in response to the decreased insulin production of diabetes mellitus
and the increased cortisone production of Cushing's disease. New evidence also
exists to indicate that low levels of the neurotransmitter serotonin may play a role
in compulsive eating.
,A nurse should identify topiramate (Topamax) as the drug of choice for which of
the following conditions? (Select all that apply.)(There are 2 correct answers)
1. Bingeing and purging with a diagnosis of bulimia nervosa
2. Weight loss with a diagnosis of anorexia nervosa
3. Amenorrhea with a diagnosis of anorexia nervosa
4. Emaciation with a diagnosis of bulimia nervosa
5. Binge eating with a diagnosis of obesity --- correct precise answer ---1. Bingeing
and purging with a diagnosis of bulimia nervosa
5. Binge eating with a diagnosis of obesity
The nurse should identify that topiramate is the drug of choice when treating binge
eating with a diagnosis of obesity or bingeing and purging with a diagnosis of
bulimia nervosa. Topiramate is an anticonvulsant that produces a significant
decline in binge frequency and reduction in body weight.
A nursing instructor is teaching about the DSM-5 criteria for the diagnosis of
binge-eating disorder. Which of the following student statements indicates that
further instruction is needed? (Select all that apply.)(There are 3 correct answers)
1. "In this disorder, distress regarding binge eating is absent."
2. "In this disorder, binge eating occurs exclusively during the course of bulimia
nervosa."
3. "In this disorder, binge eating occurs, on average, at least once a week for three
months."
,4. "In this disorder, binge eating occurs, on average, at least two days a week for
six months."
5. "In this disorder, distress regarding binge eating is present." --- correct precise
answer ---1. "In this disorder, distress regarding binge eating is absent."
2. "In this disorder, binge eating occurs exclusively during the course of bulimia
nervosa."
4. "In this disorder, binge eating occurs, on average, at least two days a week for
six months."
According to the DSM-5 criteria for the diagnosis of binge-eating disorder, binge
eating should not occur exclusively during the course of anorexia nervosa or
bulimia nervosa. The new time frame criteria in the DSM-5 states that binge eating
must occur, on average, at least once a week for three months not two days a week
for six months. The DSM-5 criteria states that distress regarding binge eating
would be present.
Anorexia nervosa deals with issues of control and a struggle between dependence
and independence.
True
False --- correct precise answer ---True. Anorexia nervosa deals with issues of
control and a struggle between dependence and independence. It is often
associated with parent-child conflicts about dependency issues. Children often feel
as though their bodies and weight are their only areas of control. It occurs
primarily in adolescents and young adults. It is more common in females than
males.
, Bulimia deals with loss of control (binge eating) and guilt (purging).
True
False --- correct precise answer ---True. Bulimia deals with loss of control (binge
eating) and guilt (purging). Bulimia is characterized by eating excessive amounts
of food followed by self-induced purging by vomiting, misuse of laxatives, diuretics
or other medications, fasting, and/or excessive exercise.
Fatty foods are the common food intolerances for clients with cholelithiasis.
True
False --- correct precise answer ---True. Fatty foods are the common food
intolerances for clients with cholelithiasis.
Teaching in relation to home management following a laparoscopic
cholecystectomy should include
a. reporting any bile-colored drainage or pus from any incision.
b. keeping the bandages on the puncture sites for 48 hours.
c. using over-the-counter antiemetics if nausea and vomiting occur.
d. emptying and measuring the contents of the bile bag from the T tube every day. -
-- correct precise answer ---a. reporting any bile-colored drainage or pus from any
incision.
